Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.62 / $13.62 / $13.62	Facility	26	$13.62	$13.62	$13.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $38.79 / $61.17	Professional		$35.34	$38.79	$61.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.12 / $14.22 / $18.97	Professional	26	$13.12	$14.22	$18.97
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.86 / $25.00 / $32.50	Professional	TC	$21.86	$25.00	$32.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $32.26 / $53.09	Professional		$27.38	$32.26	$53.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.98 / $17.97 / $19.76	Professional	26	$11.98	$17.97	$19.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $38.29 / $60.21	Professional		$29.13	$38.29	$60.21
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.27 / $28.96	Professional	26	$12.88	$18.27	$28.96
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $16.23 / $22.03 / $31.25	Professional	TC	$16.23	$22.03	$31.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $26.68 / $46.01	Professional		$14.48	$26.68	$46.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.25 / $16.25 / $16.25	Facility	26	$16.25	$16.25	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $47.88 / $74.06	Professional		$36.86	$47.88	$74.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.82 / $18.91 / $30.43	Professional	26	$13.82	$18.91	$30.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.94 / $27.83 / $47.07	Professional	TC	$20.94	$27.83	$47.07
United Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $39.45 / $59.98	Professional		$31.67	$39.45	$59.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.53 / $15.25 / $23.47	Professional	26	$12.53	$15.25	$23.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.23 / $24.54 / $37.04	Professional	TC	$19.23	$24.54	$37.04